BENEFITS OF INTERDISCIPLINARY APPROACH IN A RESIDENT OF A SUPPORTED LIVING FOR ELDERLY PEOPLE WITH DIAGNOSIS OF DEPRESSION AND COGNITIVE IMPAIRMENT

LILIANA MONICA LOMBISANI; DAFNE GOLDSTEIN; NATAIA GODOY; RUBINSTEIN WANDA

Congreso; 22nd World Congress of Gerontology and Geriatrics; 2022

Argentine Society of Gerontology and Geriatrics (SAGG)

Introduction:Social isolation during the Covid 19 pandemic has been a stressor that has produced emotional and functional alterations in the population. Depression and anxiety disorders have been observed in elderly people, as well as worsening of pre-existing cognitive alterations and functional deterioration. This situation, on the other hand, has generated difficulties in diagnoses and treatments, fundamentally in the elderly. Pseudodementia is a major depression in which subjective and/or objective cognitive impairment is the main reason for consultation, so it can be inaccurately interpreted as a dementia syndrome and without the correct therapeutic approach can increase dependence and disability of the patient. patient with consequent institutionalizationObjective:To describe the evolution of a resident with an initial diagnosis of cognitive impairment and depression throughout his stay in an assisted living facility for the elderly, without changing his admission medication, implementing a non-pharmacological interdisciplinary approach.Methods:Study of a 75-year-old male resident, during the months of August to November 2021, after spending the months of preventive social isolation in Argentina alone at home during 2020. The geriatric assessment scales were performed comprehensive, neurocognitive evaluation prior to admission and another before discharge. Pharmacological treatment was the same as that received at home.As a non-pharmacological treatment, a rehabilitation program was implemented with the following therapeutic activitiesKinesiology three 3 times a week and walks, weekly psychotherapy, occupational therapy and cognitive stimulation three 3 times a week, playful workshops with bonding with their peers, weekly nutritional follow-upResults:The functional and cognitive assessment of the resident upon admission showed an memory and executive deficit, compatible with non-amnesic multidomain neurocognitive disorder, symptoms of moderate depression and mild, moderate dependence. Upon discharge, a new evaluation was carried out, yielding normal results in all the domains measured in addition to the normal functionality assessment scalesCONCLUSIONDespite not being recognized in the DSM V, depressive pseudodementia is a possible clinical manifestation in older adults suffering from depression. Due to the mandatory, social and preventive confinement due to the pandemic, we believe that this diagnosis should be considered in the face of depression and cognitive impairment in older adults. It is essential to highlight how interdisciplinary work in a tertiary care institution can offer the patient a comprehensive treatment that improves their functionality, achieving the necessary autonomy to change the care device according to their needs. In this case, our patient was able to return home.